DR. Keith Robert Fairall, PHARMD

NPI #1104372572 in Bangor, Pennsylvania

Provider Information

NPI Number
1104372572
Entity Type
Individual
Name
DR. Keith Robert Fairall, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 26, 2016
Last Updated
Aug 26, 2016

Practice Location

Address
525 FOX GAP RD
City
Bangor
ZIP Code
18013-5832
Phone
(610) 984-7564

Specialties & Taxonomy Codes

Specialty
Pharmacist

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